WHF eval

pronation ROM fulcrum

lateral + proximal to ulnar styloid

pronation ROM proximal arm

parallel to anterior midline of humerus

pronation ROM distal arm

across dorsal aspect of forearm just proximal + parallel to styloids

pronation ROM pt position

pt seated w/upper arm close to body

elbow flexed 90 degrees

w/forearm neutral (thumb towards ceiling)

pronation MMT

pt seated w/elbow flexed to 90

support forearm just distal to elbow + hold over radius on flexor side of forearm

have pt try + turn palm down while you resist

pronation ROM eliminated gravity position

have pt seated w/shoulder flexed 45-90 + elbow flexed to 90

support pt’s arm by cupping elbow + have pt pronate forearm

supination ROM pt position

pt seated w/upper arm close to body

elbow flexed to 90

w/forearm neutral (thumb towards ceiling)

supination ROM fulcrum

medial + proximal to ulnar styloid

supination ROM proximal arm

parallel to anterior midline of humerus

supination ROM distal arm

across ventral aspect of forearm just proximal + parallel to styloids

supination MMT

pt seated w/elbow flexed to 90

support forearm just distal to elbow + hold over radius on dorsal/extensor aspect of forearm

have pt try + turn palm towards ceiling while you resist

supination ROM eliminated gravity position

have pt seated w/shoulder flexed 45-90 + elbow flexed to 90

support pt’s arm by cupping elbow + have pt supinate forearm

wrist extension ROM pt position

pt seated w/elbow flexed

palm down

arm supported on table

wrist hanging off

wrist extension ROM fulcrum

lateral aspect of wrist over triquetrum

wrist extension ROM proximal arm

lateral midline of ulna using olecranon + ulnar styloid for reference

wrist extension ROM distal arm

lateral midline of 5th metacarpal

wrist extension MMT

pt seated w/elbow flexed, forearm fully pronated, + arm supported on table w/wrist hanging off

support just proximal to wrist + push against dorsal side of hand

have pt extend wrist + hold it while you push it down

wrist extension MMT eliminated gravity position

pt seated, arm resting on ulnar side

support just proximal to wrist + extend wrist

wrist flexion ROM pt position

pt seated w/elbow flexed

palm down

arm supported on table

wrist hanging off

wrist flexion ROM fulcrum

lateral aspect of wrist over triquetrum

wrist flexion ROM proximal arm

lateral midline of ulnar using olecranon + ulnar styloid for reference

wrist flexion ROM distal arm

lateral midline of 5th metacarpal

wrist flexion MMT

pt seated w/elbow flexed, forearm fully supinated, + arm supported on table w/wrist hanging off

support just proximal to wrist + push against palmar side of hand

have pt flex wrist + hold it while you push it down

wrist flexion MMT eliminated gravity position

pt seated, resting arm on ulnar side, support just proximal to wrist

have pt flex wrist

wrist ulnar deviation ROM pt position

pt seated w/shoulder abducted to 90

elbow flexed to 90

palm down

arm + hand supported on table

wrist ulnar deviation ROM fulcrum

dorsal aspect of wrist over capitate

wrist ulnar deviation ROM proximal arm

dorsal midline of forearm using lateral epicondyle of humerus for reference

wrist ulnar deviation ROM distal arm

dorsal midline of 3rd metacarpal (not 3rd phalanx)

wrist ulnar deviation MMT eliminated gravity position

pt seated w/forearm supported on table

stabilize forearm just proximal to wrist

have one hand against 5th metacarpal/ulnar side + resist as pt moves hand sideways toward pinky

wrist ulnar deviation MMT

pt seated, resting arm on ulnar side w/wrist hanging off table

stabilize just proximal to wrist + have pt ulnar deviate while you resist

wrist radial deviation ROM pt position

pt seated w/shoulder abducted to 90

elbow flexed to 90

palm down

arm + hand supported on table

wrist radial deviation ROM fulcrum

dorsal aspect of wrist over capitate

wrist radial deviation ROM proximal arm

dorsal midline of forearm using lateral epicondyle of humerus for reference

wrist radial deviation ROM distal arm

dorsal midline of 3rd metacarpal (not 3rd phalanx)

wrist radial deviation MMT eliminated gravity position

pt seated w/forearm supported on table

stabilize forearm just proximal to wrist w/one hand + have other hand against 1st/2nd metacarpal/radial side

resist as pt moves hand sideways towards thumb

wrist radial deviation MMT

pt seated, resting arm on ulnar side

stabilize just proximal to wrist + have pt radially deviate while you resist

thumb CMC flexion ROM pt position

pt seated w/forearm + hand resting on table

forearm fully supinated

wrist neutral

CMC joint neutral

MCP + IP joints relaxed in slight flexion

thumb CMC flexion ROM fulcrum

palmar aspect of 1st CMC joint

thumb CMC flexion ROM proximal arm

ventral midline of radius using ventral surface of radial head + radial styloid for reference

thumb CMC flexion ROM distal arm

ventral midline of 1st metacarpal

thumb CMC extension ROM pt position

pt seated w/forearm + hand resting on table

forearm fully supinated

wrist neutral

CMC joint in 0 degrees abduction

thumb CMC extension ROM fulcrum

palmar aspect of CMC joint

thumb CMC extension ROM proximal arm

ventral midline of radius, using ventral surface of radial head + radial styloid as reference

thumb CMC extension ROM distal arm

ventral midline of 1st metacarpal

thumb CMC abduction ROM pt position

pt seated w/forearm + hand resting on table

forearm neutral

wrist neutral

CMC, MCP, + IP joints in 0 degrees of flexion/extension

thumb CMC abduction ROM fulcrum

lateral aspect of radial styloid

thumb CMC abduction ROM proximal arm

lateral midline of 2nd metacarpal, using 2nd MCP joint for reference

thumb CMC abduction ROM distal arm

lateral midline of 1st metacarpal, using center of 1st MCP joint for reference

thumb CMC opposition ROM

pt seated w/forearm + hand resting of table, forearm fully supinated, wrist neutral

stabilize 5th metacarpal + prevent motion at 5th CMC joint + wrist

grasp 1st metacarpal + move it away from palm (abduction) + then in an ulnar direction toward base of 5th digit (flexion + adduction)

end of opposition ROM is when the tip of the thumb + base of little finger contact

thumb MCP flexion ROM pt position

pt seated w/forearm + hand resting on table

forearm fully supinated

wrist neutral

thumb IP joint in 0 degrees of flexion/extension

thumb MCP flexion ROM fulcrum

dorsal aspect of MCP joint

thumb MCP flexion ROM proximal arm

dorsal midline of metacarpal

thumb MCP flexion ROM distal arm

dorsal midline of proximal phalanx

thumb IP flexion ROM pt position

pt seated w/forearm + hand resting on table

forearm fully supinated

CMC joint neutral

MCP joint in 0 degrees of flexion/extension

thumb IP flexion ROM fulcrum

dorsal surface of IP joint

thumb IP flexion ROM proximal arm

dorsal midline of proximal phalanx

thumb IP flexion ROM distal arm

dorsal midline of distal phalanx

2nd digit MCP flexion ROM pt position

pt seated w/forearm + hand resting on table

wrist + MCP joint neutral

2nd digit MCP flexion ROM fulcrum

dorsal aspect of MCP joint

2nd digit MCP flexion ROM proximal arm

dorsal midline of metacarpal

2nd digit MCP flexion ROM distal arm

dorsal midline of proximal phalanx

2nd digit MCP flexion MMT

pt seated w/forearm supinated, wrist neutral, MCPs fully extended, IPs flexed

stabilize metacarpals proximal to MCP joint, push on palmar surface of proximal phalanges

have pt simultaneously flex MCP joints while you resist

2nd digit MCP flexion MMT eliminated gravity position

have pt rest arm on ulnar side

support metacarpals + have pt flex MCPs

2nd digit MCP extension ROM pt position

pt seated w/forearm + hand resting on a table

wrist + MCP joint neutral

2nd digit MCP extension ROM fulcrum

dorsal aspect of MCP joint

2nd digit MCP extension ROM proximal arm

dorsal midline of metacarpal

2nd digit MCP extension ROM distal arm

dorsal midline of proximal phalanx

2nd digit MCP extension MMT

pt seated w/forearm in pronation, wrist neutral, MCP + IP joints are relaxed in flexion

stabilize wrist + push against dorsal side of all phalanges w/index finger

have pt try + extend all MCP joints (IP joints can be flexed)

2nd digit MCP abduction ROM pt position

pt seated w/forearm + hand resting on table

wrist + MCP joint neutral

2nd digit MCP abduction ROM fulcrum

dorsal aspect of MCP joint

2nd digit MCP abduction ROM proximal arm

dorsal midline of metacarpal

2nd digit MCP abduction ROM distal arm

dorsal midline of proximal phalanx

2nd digit PIP flexion ROM pt position

pt seated w/forearm + handing resting on table

wrist + MCP joint neutral

2nd digit PIP flexion ROM fulcrum

dorsal aspect of PIP joint

2nd digit PIP flexion ROM proximal arm

dorsal midline of proximal phalanx

2nd digit PIP flexion ROM distal arm

dorsal midline of middle phalanx

2nd digit DIP flexion ROM pt position

pt seated w/forearm + hand resting on table

wrist + MCP joint neutral

PIP joint in 70-90 degrees

2nd digit DIP flexion ROM fulcrum

dorsal aspect of DIP joint

2nd digit DIP flexion ROM proximal arm

dorsal midline of middle phalanx

2nd digit DIP flexion ROM distal arm

dorsal midline of distal phalanx

2nd digit DIP extension ROM pt position

pt seated w/forearm + hand resting on table

wrist + MCP joint neutral

PIP joint in 70-90 degrees

2nd digit DIP extension fulcrum

dorsal aspect of DIP joint

2nd digit DIP extension proximal arm

dorsal midline of middle phalanx

2nd digit DIP extension distal arm

dorsal midline of distal phalanx

2nd digit DIP extension normal range

0-30 degrees

2nd digit DIP flexion normal range

0-70 degrees

2nd digit PIP flexion normal range

0-100 degrees

2nd digit MCP abduction normal range

0-20 degrees

2nd digit MCP extension normal range

0-45 degrees

2nd digit MCP flexion normal range

0-115 degrees

thumb IP flexion normal range

0-80 degrees

thumb MCP flexion normal range

0-50 degrees

thumb CMC abduction normal range

0-60 degrees

thumb CMC extension normal range

0-20 degrees

thumb CMC flexion normal range

0-15 degrees

wrist radial deviation normal range

0-20 degrees

wrist ulnar deviation normal range

0-45 degrees

wrist flexion normal range

0-80 degrees

wrist extension normal range

0-70 degrees

supination normal range

0-90 degrees